科索沃7至14岁儿童牙齿创伤、焦虑与攻击行为之间的关系
The Relationship Between Dental Trauma, Anxiety and Aggression Behavior in 7 to14 Year old Children in Kosovo.
作者信息
Haliti Fehim, Juric Hrvoje
机构信息
University of Pristhina School of Dental Medicine, Department of Pediatric and Preventive Dentistry.
University of Zagreb School of Dental Medicine, Department of Pediatric and Preventive Dentistry.
出版信息
Acta Stomatol Croat. 2017 Mar;51(1):3-12. doi: 10.15644/asc51/1/1.
BACKGROUND AND AIM
Dental fear has a negative impact on the treatment outcomes. The aim of this study was to evaluate dental anxiety among children with different measurement scales, with the aim of getting more precise and thorough estimations, as well as correlation between anxiety scale and aggression scale in children with/or without dental trauma.
MATERIAL AND METHODS
The study population include 254 children's experience with dental trauma (59.1% male), and 251 children without dental trauma (46.6% male), between 7 and 14 years old, and their respective parents were evaluated during 2015-2016. Psychometric measures used for this purpose included several questionnaires. The result was tested with the X test, Student's t-test, one-way ANOVA, and Pearson's correlation coefficient. The Cronbach alpha was used to check the reliability and validity of the measures. The predetermined significance levels were set at 0.05.
RESULTS
All used test has satisfactory reliability and validity of the scale. The mean anxiety score was significantly higher in children with dental trauma. The children with dental trauma had a higher mean aggression scale (OAS). The girls had significantly higher mean anxiety score than boys in all used questionnaires. The mean aggression score was significantly higher for boys than girls in both compared groups (p<0.001). The Odds of the aggressive behavior in children with dental trauma decrease for 0.95 when the value of the mean DVSS-SV scale is increased by one units, and increase for 1.04 when the means anxiety score increased by one units.
CONCLUSION: The mean anxiety score was significantly higher in children with dental trauma, as well as the girls and children who are more afraid of medical interventions (CMFQ). Also the children with dental trauma, and boys had a higher mean aggression scale (OAS). Significant correlation was found between dental anxiety level and aggressive behavior of children's. The odds of the aggressive behavior increased with increasing of mean score of each anxiety measurement scale, but not significantly, except for S-DAI score.
背景与目的
牙科恐惧对治疗结果有负面影响。本研究旨在使用不同测量量表评估儿童的牙科焦虑，以获得更精确和全面的评估，以及评估有或无牙外伤儿童的焦虑量表与攻击量表之间的相关性。
材料与方法
研究对象包括254名有牙外伤经历的儿童（男性占59.1%）和251名无牙外伤的儿童（男性占46.6%），年龄在7至14岁之间，在2015 - 2016年期间对他们及其各自的父母进行了评估。为此使用的心理测量方法包括几份问卷。结果用X检验、学生t检验、单因素方差分析和皮尔逊相关系数进行检验。使用克朗巴赫α系数来检验测量的可靠性和有效性。预定的显著性水平设定为0.05。
结果
所有使用的测试量表都具有令人满意的可靠性和有效性。有牙外伤的儿童平均焦虑得分显著更高。有牙外伤的儿童平均攻击量表（OAS）得分更高。在所有使用的问卷中，女孩的平均焦虑得分显著高于男孩。在两个比较组中，男孩的平均攻击得分均显著高于女孩（p<0.001）。当平均DVSS - SV量表值增加一个单位时，有牙外伤儿童攻击行为的几率降低0.95，而当平均焦虑得分增加一个单位时，攻击行为的几率增加1.04。
结论
有牙外伤的儿童、女孩以及更害怕医疗干预的儿童（CMFQ）平均焦虑得分显著更高。此外，有牙外伤的儿童和男孩平均攻击量表（OAS）得分更高。发现儿童的牙科焦虑水平与攻击行为之间存在显著相关性。除S - DAI得分外，攻击行为的几率随每个焦虑测量量表平均得分的增加而增加，但不显著。
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